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International Student Emergency Plan Opt Out

International student must have current Manitoba Health coverage in effect and a Manitoba Health confirmation letter verifying effective Manitoba Health start date and expiry date.

This form is to opt out the International Student Emergency Plan.
Please read and agree to the Terms & Conditions prior to submitting your online opt-out.
Student ID
Last name
First name
Your MB health expiry date
Your program start date
Please upload your proof of your MB health (confirmation letter of MB health ; NOTE: In order for us to specify your screenshot, please rename your screenshot with your student ID.)
Please enter your email
Please enter your phone number
I confirm that I am covered by MB health and want to waive the International Student Emergency Plan coverage.

PLEASE NOTE: THIS IS THE OPT-OUT FORM FOR RED RIVER COLLEGE STUDENTS ONLY! IF YOU DO NOT ATTEND ​RED RIVER COLLEGE PLEASE CLICK HERE TO SELECT YOUR SCHOOL.

Already have coverage?

Coordinating multiple plans: If you are an eligible student and have comparable coverage you may wish to coordinate your plans. Benefits under the two plans can be coordinated to increase your coverage up to 100% of the actual expense(s) incurred. For example, following payment under this plan you can submit outstanding balances to the other plan for consideration.

Opting Out of coverage: If you are an eligible student and have comparable extended health and/or dental coverage you may apply to opt-out of the plan(s). Each student is given one opportunity to opt-out of the health and/or dental plan(s) each year. All opt-out forms must be completed online and must be received within 30 days from the start date of your full-time program. You will not be able to opt-out of coverage at any other point during the school year.

Please note: You cannot use Manitoba Health Provincial Coverage to opt out of the Extended Health or Dental plan as this is not comparable coverage. ​

NO EXCEPTIONS will be made if the deadline is missed. It is the student's responsibility to pay the plan fees, should they miss the applicable opt-out deadline.

Approval of your opt-out will result in the plan fee being credited. Once your opt-out has been accepted, it will remain in force as long as you remain an eligible student.

If you are unsure about whether or not you are eligible for the Student Health and Dental plan, please contact the RRCSA Student Benefits Plan Office within 30 days of the start date of your program.

Please read and agree to the Terms & Conditions prior to submitting your online opt-out.



Student Information

Date of Birth
Phone Number
Program Start Date

Opt In


If a student has successfully completed an opt out but requires re-enrolment into the plan there are 2 opportunities to do so:

1) Upon Policy Anniversary: For students starting in September the anniversary would be the following September prior to the applicable deadline. For students starting in January the anniversary would be the following January prior to the applicable deadline.

2) Lifestyle Change: There are certain circumstances known as lifestyle changes that allow a student to make changes to their enrolment status within 30 days of the change. Lifestyle changes include; getting married or meeting the twelve month co-habitation requirement for common law status, birth/adoption of a child, meeting provincial plan residency requirements and losing their alternate coverage.

Students who lose their comparable coverage may opt back into the plan(s), provided that they are within 30 days of losing coverage. If a student has lost their comparable coverage they must show documentation of loss by submitting a letter from either the insurance carrier or employer.

Student Benefits Plan coverage is provided to eligible students automatically, except in certain circumstances where a student’s enrolment status excludes them from automatic inclusion by the institution or due to a previous waiver on file. To enroll in the Student Health and/or Dental plan(s), complete the sections below and submit this form. You will then be contacted by the RRCSA Student Benefits Plan Office, via an email notification, of any required supporting documents and fees. All supporting document(s) and fees must be received by the applicable deadline in order for the enrolment process to be completed.

Please read and agree to the Terms & Conditions prior to submitting your online Enrolment Form.



Student Information

Gender
Date of Birth
Phone Number
Program Start Date

Family Add On


Coverage provided through the Student Health and Dental plan can be extended to a spouse and/or dependent(s). To add eligible dependent(s) complete the sections below and submit this form. You will then be contacted by the RRCSA Student Benefits Plan Office, via an email notification, of any required supporting documents and fees. All supporting document(s) and fees must be received by the applicable deadline in order for the family add on process to be completed.

For year 2019-2020

For International Student Emergency Plan:
(Please note: the deadline to add family to international plan has expired.)

Couple $693.50
Family $1040.25

Please note: International students are required to purchase the International student emergency plan coverage for their dependents in order to purchase extended health benefits for their dependents.

For Extended Health & Dental Plan:
Health (one or more dependent) $135.00
Dental (one dependent) $160.00
Dental (two or more dependents) $290.00

Please note: All ONLINE FAMILY ADD ON SUBMISSION: Payable only by VISA OR MASTERCARD. IF YOU ARE NOT ABLE TO PAY BY VISA OR MASTER CARD, please contact ON CAMPUS CARE to make arrangements to pay by DEBIT or Personal Cheque.

Please read and agree to the Terms & Conditions prior to submitting your online Family Add-On form.

Student Information

Gender
Date of Birth
Phone Number
Program Start Date

Service Members


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